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    NCLEX-RN Guide

    NCLEX Cheat Sheet: Memorization Tables and Fast-Recall Tips

    Free NCLEX cheat sheet with memorization tables for labs, vital signs, drug suffixes, positioning, delegation and prioritization — plus step-by-step recall tips.

    Quick Answer

    An NCLEX cheat sheet is a condensed set of high-yield tables — lab values, vital sign ranges, drug-class suffixes, patient positioning, isolation precautions, delegation rules and prioritization frameworks — that you rehearse daily and dump onto your whiteboard in the first two minutes of the exam.

    Most NCLEX-RN candidates do not fail because they never learned the content. They fail because, under 5 hours of adaptive testing pressure, they cannot retrieve the content fast enough. A cheat sheet solves the retrieval problem: it strips thousands of pages of nursing theory down to the small number of facts that show up over and over again on the exam, arranged in tables your brain can memorize as patterns rather than isolated facts. Everything on this page is free, printable and built to be rehearsed in 10-minute blocks alongside practice questions.

    📌 Key Takeaways

    • Memorize patterns and tables, not isolated facts — grouped information is recalled 2–3x more reliably under exam stress
    • The highest-yield memorization sets are lab values, vital sign ranges, drug suffixes, positioning, precautions, and delegation rules
    • Rehearse a 'brain dump' of 5–6 tables so you can write them on the exam whiteboard in the first two minutes
    • A cheat sheet only works when paired with application-level practice questions — memorization alone does not build clinical judgment
    • Review the sheet daily for 10 minutes for 4–8 weeks rather than cramming it the night before

    How to Use This NCLEX Cheat Sheet (Step-by-Step Recall Method)

    A cheat sheet is a rehearsal tool, not a reading tool. The method below converts recognition ("I've seen that before") into recall ("I can produce it from memory"), which is the only form of memory the NCLEX actually tests.

    1. 1Pick ONE table below and read it slowly once, out loud. Do not attempt more than one table per session.
    2. 2Cover the table. On blank paper, write everything you remember. Expect to get 40–60% on the first attempt — that is normal and productive.
    3. 3Uncover and mark what you missed in a different colour. Only the missed items get re-read.
    4. 4Wait 20 minutes, then reproduce the table again from memory. This spaced second attempt is where long-term retention is built.
    5. 5Immediately answer 10–15 practice questions in that topic so the facts are stored in a clinical context, not as trivia.
    6. 6Re-test the same table 24 hours later, then 3 days later, then 7 days later. Three spaced repetitions is usually enough to hold a table for exam day.
    7. 7In the final week, practise your full 'brain dump': all six core tables written from memory in under 5 minutes.

    Vital Signs and Normal Values You Must Know Cold

    Vital sign questions rarely ask for the number itself. They give you the number and ask what you do about it. Knowing the boundary values instantly is what frees your working memory to reason about the intervention.

    High-yield adult vital sign and assessment ranges
    ParameterNormal adult rangeReport / act when
    Heart rate60–100 bpm<60 or >100 with symptoms; new irregular rhythm
    Respiratory rate12–20 breaths/min<12 (opioids, sedation) or >20 with distress
    Blood pressure<120/80 mmHg (normal)Systolic <90 or >180; diastolic >120
    Temperature36.5–37.5 °C (97.7–99.5 °F)>38 °C in a neutropenic or post-op patient
    SpO₂95–100%<92% on room air; <88% in chronic CO₂ retainers
    Urine output≥30 mL/hr (0.5 mL/kg/hr)<30 mL/hr for 2 consecutive hours
    Pulse pressure30–40 mmHgNarrowing (shock) or widening (rising ICP)
    CVP2–6 mmHgLow = hypovolaemia; high = fluid overload / right heart failure
    ICP5–15 mmHg>20 mmHg sustained — neurosurgical emergency

    Drug Class Suffixes — The Fastest Pharmacology Shortcut

    Pharmacology is the content area candidates most often name as their weakest, yet a large share of drug questions can be reasoned out from the generic-name ending alone. Learn the suffix, the class, and the single nursing priority attached to it.

    Suffix → class → top nursing priority
    SuffixDrug classPriority nursing consideration
    -ololBeta blockersHold for HR <60 or SBP <90; never stop abruptly
    -prilACE inhibitorsDry cough, angioedema, hyperkalaemia, first-dose hypotension
    -sartanARBsHyperkalaemia; contraindicated in pregnancy
    -dipineCalcium channel blockersPeripheral oedema, hypotension, avoid grapefruit
    -statinAntilipemicsMuscle pain (rhabdomyolysis), monitor liver enzymes
    -pam / -lamBenzodiazepinesRespiratory depression; antidote flumazenil
    -cillinPenicillinsAllergy/anaphylaxis screening before first dose
    -mycin / -micinAminoglycosidesNephrotoxicity and ototoxicity; monitor troughs
    -prazoleProton pump inhibitorsGive before meals; long-term fracture risk
    -osinAlpha blockersOrthostatic hypotension — first dose at bedtime
    -tidineH₂ blockersConfusion in older adults
    -aseThrombolyticsBleeding precautions; strict time windows

    Patient Positioning Table

    Positioning items are pure recall and appear on almost every exam form. They are the cheapest points on the NCLEX — memorize them once and they are yours.

    Condition → correct position
    Condition / procedurePositionWhy
    Increased ICPHOB 30°, head midlinePromotes venous drainage
    Air embolismLeft side, TrendelenburgTraps air in right atrium
    Post lumbar punctureFlat supineReduces spinal headache
    Autonomic dysreflexiaHigh Fowler'sLowers blood pressure
    Post total hip replacementAbduction pillow, no >90° flexionPrevents dislocation
    Prolapsed umbilical cordKnee-chest or TrendelenburgRelieves cord compression
    Unconscious / seizure (postictal)Side-lying (recovery)Protects airway
    After liver biopsyRight side-lyingApplies pressure to site
    ShockSupine, legs elevated 20°Improves venous return
    Tube feedingHOB 30–45° during and 1 hr afterPrevents aspiration

    Isolation Precautions — MRS WEE and SPIDERMAN

    Infection-control items are guaranteed points if you memorize the two classic mnemonics. Standard precautions apply to every patient; the tables below are what you add.

    • Airborne (N95 + negative-pressure room) — MTV: Measles, TB, Varicella (also disseminated zoster, COVID-19 aerosol procedures)
    • Droplet (surgical mask, private room, door may stay open) — SPIDERMAN: Sepsis/Scarlet fever, Pertussis, Influenza, Diphtheria, Epiglottitis, Rubella, Mumps, Meningitis, Adenovirus, Pneumonia
    • Contact (gown + gloves) — MRS WEE: MRSA, RSV, Skin infections, Wound infections, Enteric (C. difficile — soap and water, not alcohol gel), Eye infections
    • Protective/neutropenic — no fresh flowers, no raw fruit or vegetables, no visitors with infection, private room with positive-pressure airflow

    Delegation and Prioritization Cheat Card

    Management of Care questions are decided by two rules: who can legally do the task, and which patient is least stable. Memorize the delegation grid, then apply the priority frameworks in order.

    Who can do what
    RoleCan doCannot do
    UAP / CNAVital signs on stable patients, ADLs, ambulation, feeding, I&O, positioning, routine specimen collectionAnything requiring assessment, teaching, judgement, or care of an unstable patient
    LPN / LVNStable patients, oral/IM/SubQ medications, wound care, tracheostomy care, reinforcing teaching, data collectionInitial assessment, care planning, IV push meds, blood products, unstable patients, evaluation of outcomes
    RNAssessment, diagnosis, planning, evaluation, teaching, unstable patients, IV push, blood administrationDelegating the above to anyone else
    • Priority order: ABCs → Airway before Breathing before Circulation, then disability/safety
    • Maslow: physiological needs before safety, safety before psychosocial
    • Acute and unexpected beats chronic and expected
    • Assessment before intervention — unless the airway is compromised, then act
    • Least invasive intervention first; 'call the provider' is almost never the first nursing action

    The Two-Minute Brain Dump Strategy

    You are given an erasable whiteboard at the Pearson VUE test centre. Before you answer question one, reproduce the tables you rehearsed: lab values, vital sign boundaries, drug suffixes, positioning, precautions, and the delegation grid. This does two things. First, it externalizes your memory so that working memory is free for reasoning. Second, it converts anxiety into a familiar, rehearsed motor task, which measurably lowers physiological arousal in the opening minutes of the exam.

    Practise the dump in full at least five times in your final week, timed. If it takes longer than five minutes, cut the sheet down — a cheat sheet you cannot reproduce is a cheat sheet you do not know.

    Turn memorized tables into exam points

    Facts only score when you can apply them to a patient. Take a free question set now and use your cheat sheet under realistic conditions.

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    Frequently Asked Questions

    Can I bring a cheat sheet into the NCLEX exam?

    No. Nothing may be carried into the Pearson VUE testing room. You are, however, given an erasable note board and marker, and you may write anything you remember on it once the exam begins. That is why rehearsing a two-minute brain dump of your key tables is the legal, effective version of bringing a cheat sheet.

    What should be on an NCLEX cheat sheet?

    The six highest-yield sets are lab values, vital sign boundaries, drug-class suffixes with their nursing priority, patient positioning, isolation precautions, and the delegation/prioritization grid. Anything you can reason out clinically should be left off — reserve memorization for facts that cannot be derived.

    How long does it take to memorize the NCLEX cheat sheet?

    With the write-cover-check method, most candidates hold all six tables after about two weeks of 10-minute daily sessions plus spaced re-tests at 24 hours, 3 days and 7 days. Cramming the sheet the night before produces recognition, not recall, and fails under exam pressure.

    Is memorization enough to pass the NCLEX?

    No. The NCLEX-RN measures clinical judgment — applying knowledge to a scenario and choosing the priority action. Memorized tables remove retrieval friction, but the score comes from practice questions and rationale review. Pair every memorization session with 10–15 application-level questions.

    Is this NCLEX cheat sheet free?

    Yes. Every table, guide and practice question on NclexRevision.com is free, with no signup, no trial period and no paywall.